目的:探讨宫颈癌筛查中宫颈脱落细胞涂片标本质量的评估方法。方法:采用肉眼观察和显微镜下观察2种方法对经巴氏染色后的涂片质量进行评估。肉眼观察标本的涂片面积、涂片厚度;镜下观察鳞状上皮细胞数量、鳞状上皮细胞被遮盖情况、有无颈管柱状上皮细胞等指标。结果:肉眼观察19448张涂片,满意标本为91.76%,抽检的2082张镜下观察涂片,满意标本为76.85%。结论:在宫颈癌筛查中通过快速、便捷的肉眼+镜检相结合的方法,能迅速将质量评估结果和建议反馈给现场取样的医生,及时指导医生改进取样和涂片的方法,提高涂片标本的质量,以满足“子宫颈细胞学TBS报告系统”中对涂片标本质量的要求。 Objective: To evaluate the method of assessing the quality of cervical exfoliated cells smear in cervical cancer screening. Methods: Pap smear smear quality was assessed by macroscopic observation and microscopic observation. Macroscopically observe the specimen smear area, smear thickness; microscopic observation of squamous cell number, squamous epithelium is covered, with or without cervical columnar epithelial cells and other indicators. RESULTS: A total of 19448 smears were observed visually, with 91.76% of satisfactory specimens. A total of 2082 microscopic specimens were examined under the microscope. The satisfactory specimens were 76.85%. Conclusion: Through the rapid and convenient combination of macroscopic and microscopic examination in cervical cancer screening, the quality assessment results and suggestions can be promptly fed back to the doctors in the field to timely guide the doctors to improve the sampling and smear methods to improve the quality of application The quality of the piece specimens to meet the “Cervical cytology TBS reporting system ” in the quality of the smear specimens.